Active NPI
Regent Therapy Services LLC.
- Physical Therapist
- Lake Mary, FL
National Provider Identifier
1659950244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- REGENT THERAPY SERVICES LLC.
- Practice address
- 875 Wallace CT , Suite C (Unit 1013)
Lake Mary, FL 32746-3274 - Phone
- (813) 843-2401
- NPI assigned
- Apr 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maulika N Thakore, PT
- Title
- Owner/ Manager
- Phone
- (813) 843-2401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Orthopedic Physical Therapist | 2251X0800X |
Addresses
Primary practice location
875 Wallace CT , Suite C (Unit 1013)
Lake Mary, FL 32746-3274
Mailing address
5205 Piper LN
Sanford, FL 32771-5465
Phone (813) 843-2401
Other names 1
- FYZICAL Therapy & Balance Centers Of Lake Mary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
875 Wallace Ct
Unit 1013
Lake Mary, FL 32746
Phone (734) 578-5171
875 Wallace Ct
Unit 1013C
Lake Mary, FL 32746
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lake Mary, FL
- NPI 1356522411
-
- Physical Therapist
- Lake Mary, FL
- NPI 1245459932
-
- Physical Therapist
- Lake Mary, FL
- NPI 1790595932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617321600000",
"number": "1659950244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 PIPER LN",
"city": "SANFORD",
"state": "FL",
"postal_code": "327715465",
"telephone_number": "813-843-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 WALLACE CT , SUITE C (UNIT 1013)",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463274",
"telephone_number": "813-843-2401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENT THERAPY SERVICES LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A",
"authorized_official_last_name": "THAKORE",
"authorized_official_first_name": "MAULIKA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER/ MANAGER",
"authorized_official_telephone_number": "813-843-2401",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FYZICAL Therapy & Balance Centers Of Lake Mary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.